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Biosensors in Spatial Electronic Health Record

بسم الله الرحمن الرحیم. Biosensors in Spatial Electronic Health Record. Ali Yoonessi, MD, PhD School of Advanced Medical Technologies Tehran University of Medical Sciences. Scenario. A 68 year old man suffering from parkinson’s disease falls while walking in the park.

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Biosensors in Spatial Electronic Health Record

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  1. بسم الله الرحمن الرحیم Biosensors in Spatial Electronic Health Record Ali Yoonessi, MD, PhD School of Advanced Medical Technologies Tehran University of Medical Sciences

  2. Scenario • A 68 year old man suffering from parkinson’s disease falls while walking in the park. • An accelerometer embedded in his stick senses a fall and sends a help signal • A global network alerts the nearby people of an emergency situation

  3. Telemedicine and Telehealth • Telehealth Practice Recommendations for Diabetic Retinopathy, M Winchester, American Telemedicine … - Telemedicine and e- …, 2011 • Stroke telemedicine, BM Demaerschalk, ML Miley… - Mayo Clinic …, 2009 • Evaluating telemedicine in the ICU, EJ Yoo… - JAMA: the journal of the American Medical …, 2009 • Managing heart failure care using an internet-based telemedicine system, A Kashem, MT Droogan, WP Santamore… - Journal of Cardiac …, 2008 • … • …

  4. Combining technologies to achieve a better health situation • EHR • Biosensors • Space Technology

  5. First Piece of InformationAn electronic health record (EHR) • an evolving concept defined as a systematic collection of electronic health information about individual patients or populations. • It is a record in digital format that is capable of being shared across different health care settings, by being embedded in network-connected enterprise-wide information systems.

  6. A whole range of data • Demographics • Medical history • Medications • Allergies • immunization status • Laboratory test results • Radiology images • Vital signs • Personal stats like age and weight • Billing information.

  7. Second Piece of InformationBiosensors • A biosensor is an analytical device for the detection of an analyte that combines a biological component with a physicochemical detector component. • Photometric • Electrochemical • Piezoelectric • Thermometric • Magnetic

  8. Pulse oximeter • A wrist mounted remote sensor pulse oximeter with plethysmogram.

  9. Sesnors • Optical • Electrical • Sound

  10. Third Piece of InformationBut….What about the role of space technology? • The Global Positioning System (GPS) is a space-based global navigation satellite system (GNSS) that provides location and time information in all weather, anywhere on or near the Earth, where there is an unobstructed line of sight to four or more GPS satellites. It is maintained by the United States government and is freely accessible by anyone with a GPS receiver. The Russian GLObalNAvigation Satellite System (GLONASS) , European Union Galileo positioning system, Chinese Compass navigation system, and Indian Regional Navigational Satellite System

  11. The proposed system

  12. A wearable sensor • Portable wireless ECG monitor • Wearable blood pressure monitor • Portable Spirometer

  13. Current SituationElectronic Health Record • Electronic Health Record has been tried in several countries, but none of them has achieved a national system of EHR. • Iran is in the process of embedding an EHR system, particularly in the insurance industry (1392)

  14. Current Situation Biosensors • Biosensors are widely available, are cheap and many more types are in the development phase • New models may also include nanosensors, sensors based on protein and other biological materials, and non-invasive chemical sensors • Iran is heavily investing in nanosciences, neuroscience, and other new medical technologies

  15. Current SituationSpace Technology • Iran is in a rapidly progressive phase • Omid (hope): The launch of Omidmade Iran the ninth country to develop an indigenous satellite launch capability. • Sinah-1 • Omid • Rasad-1 • Mesbah • Mesbah-2 • Navid-Elmo-Sannat • Environment 1, • Qaem • Pars Sepehr • Pars-2 • Zohreh • Fajr, • Zafar-1 • AUT-SAT • Besharat

  16. Scenario • Heart section receives an automatic text message from processing center that a suspicious activity in the ECG of patient X is detected, which is different from his past-year average ECG. On-call doctor looks at the data from his BP, ECG and Oximeter and decides that it is fine. • Thermometer from patient Y detects a higher-than-normal temperature from around the surgery site of the last week. Doctor calls the patient and asks him to take a picture and decides that it is in the initial stage of infection and needs immediate antibiotic.

  17. Chronic Disorders • Diabetes • Heart Failures • Stroke • Other neurological conditions such as MS, parkinson, and alzheimer • High blood pressure • Cancer • Addictions (senses craving and alerts the patient to evacuate from that environment)

  18. Plan • Space Technology • Microelectronics Technology • Data gathering and automatic information processing

  19. Acknowledgement • Professor Reza Malekzadeh, Head of DDRI • Tehran University of Medical Sciences • Iranian Space Agency • United Nation • National Research Institute of Tuberculosis and Lung Disease

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